Individual provider Active NPI

Muthayyah Srinivasan, MD

  • Cardiovascular Disease Physician
  • Lithonia, GA
National Provider Identifier
1205835501
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
052836 Issued in GA
Practice address
5447 Dividend Dr
Lithonia, GA 30058-8412
Phone
(770) 322-8881
Fax
(770) 322-8886
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 052836 GA Primary

Addresses

Primary practice location

5447 Dividend Dr
Lithonia, GA 30058-8412

Mailing address

5447 Dividend Dr
Lithonia, GA 30058-8412
Phone (770) 322-8881

Other identifiers 1

IdentifierTypeStateIssuer
000782788909BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000046 GA Practitioner - Cardiovascular Disease (Cardiology) 8628029378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
East Atlanta Cardiology LLCGroup PAC ID 7517096050, 2 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

5447 Dividend Dr
Lithonia, GA 30058-8412
Phone 7703228881105

Hospital & facility affiliations

  • Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226
  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as individual
Quality
85.74
Improvement activities
40
Cost
78.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
052836GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Medical Center, Inc. Current Accepting new patients
The Emory Clinic Inc Cardiovascular Disease CurrentSince Nov 10, 2025 Accepting new patients
M. Srinivasan MD PC Cardiovascular Disease PastSince Oct 1, 2006 Accepting new patients
Saint Josephs Hospital of Atlanta Inc Past Accepting new patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease Past Accepting new patients
Emory Health Care Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

5900 Hillandale Dr
Lithonia, GA 30058
Phone (404) 501-1000

Interoperability endpoints

  • Direct secure messaging: muthayyah.srinivasan@gadirect.net
  • Direct secure messaging: muthayyah.srinivasan@eac.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1205835501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5447 DIVIDEND DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588412",
            "telephone_number": "770-322-8881",
            "fax_number": "770-322-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5447 DIVIDEND DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588412",
            "telephone_number": "770-322-8881",
            "fax_number": "770-322-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "MUTHAYYAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "052836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000782788909B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

Verify at the official NPI Registry.